European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 1998
Prediction of patients with higher order multifetal pregnancy at risk for postpartum pulmonary edema.
This retrospective study aims to verify the factors for the development of maternal pulmonary edema in higher order multifetal pregnancy. ⋯ These findings demonstrate that patients in whom the perioperative FLI is >0 may have a much higher risk for postoperative pulmonary edema, suggesting the predictive role of the perioperative FLI value.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 1998
Fetal cardiotocography and acid-base status during cesarean section.
To assess the fetal well-being during cesarean section, in relation to the previous fetal condition. ⋯ Silent tracings appearing during cesarean section usually do not indicate fetal distress. Poor intracesarean fetal heart tracings were associated with worse indicators of neonatal well-being. Although umbilical pH were lower than scalp values, when the correction described in the literature was applied, the difference was of little clinical relevance. It is concluded that anesthesic, pharmacological and surgical events have slight repercussion in fetal well being. However, in a few cases fetal heart monitoring during cesarean section could detect otherwise undiagnosed cases of transient acidemia or depression in the fetus.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 1998
Pudendal canal syndrome as a cause of vulvodynia and its treatment by pudendal nerve decompression.
Notwithstanding many established causes of vulvodynia there still remains an idiopathic group with unknown etiology and variable results of treatment. We present 11 women with idiopathic vulvodynia in whom the etiology could be defined and who were successfully treated. Age varied from 28-53 years. ⋯ The PNTML was normalized in 9/11 women. In conclusion, pudendal nerve decompression effected relief and improvement in the sensory and motor manifestations of the pudendal nerve in 9/11 women. Two women did not improve due probably to an irreversible damage of the pudendal nerve, or to incomplete pudendal nerve decompression.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 1998
Case ReportsIntracranial subdural haematoma complicates accidental dural tap during labour.
A 19-year-old, healthy nulliparous woman developed an intracranial subdural haematoma after unintentional dural puncture in connection with epidural analgesia for labour pain. The haematoma was evacuated and the patient recovered completely. Anaesthesiologists and obstetricians should be aware of this rare but potentially dangerous complication to epidural analgesia.